Healthcare Provider Details

I. General information

NPI: 1659395622
Provider Name (Legal Business Name): DENNIS EDWARD JOYCE LCDP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2374 POST RD
WARWICK RI
02886-2260
US

IV. Provider business mailing address

2374 POST RD
WARWICK RI
02886-2260
US

V. Phone/Fax

Practice location:
  • Phone: 401-529-4637
  • Fax:
Mailing address:
  • Phone: 401-529-4637
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCDP00326
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: